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Name of spouse
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Do you have children and if so, what are their ages?
Have you been divorced before, and if so, please list the dates of your previous marriages and divorces.
Are you currently separated from your current spouse? Yes No
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Have you discussed reconciliation?
If so, what is the status?
Have there been any incidents of violence in the marriage?
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Please provide a general description of the assets of both parties.
Please provide a general description of the liabilities of both parties.
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